Print this page and mail along with check in the proper amount to:
James Christaldi
409 Sunny Hill Lane
Broomall, PA. 19008
Please make all checks payable to:
JAMES CHRISTALDI
ORDER FORM FOR : Studio DanceXtreme "Reality" Dance Recital
Date: June 4, 2004 Event: Studio DanceXtreme "Reality" Dance Recital
Customer Name: ________________________________________________________
Street Address: _________________________________________________________
City: _________________________________ State: __________ Zip: _____________
Phone: ________________________________
COST OF DVD IS $42.50
THIS INCLUDES SHIPPING & HANDLING
NUMBER OF TAPES ORDERED: ________ NUMBER OF DVDs ORDERED: ______
TOTAL PRICE INCLUDED: _______________ CHECK NUMBER: _______________
MAIL TO:
James Christaldi
409 Sunny Hill Lane
Broomall, PA. 19008
